Referrals
Wheeze/asthma referral checklist
Referral checklist for severe, recurrent, or treatment-refractory wheeze/asthma symptoms.
Last reviewed 2026-02-07|asthma | respiratory | workup
Jump to
Minimum pre-referral workup
- Exacerbation frequency, symptom burden, and objective respiratory assessment.
- Inhaler technique/adherence review and trigger assessment.
- Current medication plan and recent response to treatment adjustments.
Urgency tier
- Same-day escalation for severe respiratory distress, hypoxia, or poor response to acute therapy.
- Expedited referral for recurrent exacerbations despite optimized outpatient management.
- Routine referral for persistent uncontrolled symptoms needing specialist optimization.
Referral packet checklist
- Structured timeline of exacerbations, urgent visits, and treatment courses.
- Baseline vitals/oximetry and pertinent testing history.
- Current regimen, adherence barriers, and environmental trigger context.
Pre-referral optimization tasks
- Reinforce action-plan use and return precautions.
- Address inhaler technique and adherence barriers before specialist review.
- Arrange follow-up interval to monitor interim control.